Individual
PAMELA ARDIS THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SP
Contact information
Practice address
10 MALL CT STE B, SAVANNAH, GA 31406-3691
(912) 351-4793
(888) 429-3741
Mailing address
17 BARNETT DR, SAVANNAH, GA 31406-5234
(912) 356-0343
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00855
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00619187D
—
GA
Enumeration date
11/14/2006
Last updated
05/20/2013
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